Before we start, please read first and agree to our privacy policy.

Agree to our privacy policy *

I've read, understood and agree to the privacy policy

What brings you to our career coaching academy? *

How are you related to the applicant? *

Father

Mother

Legal Guardian

Your Name: *

Your Phone Number: *

Your email: *

Applicant's Full Name *

Age *

Phone *

Email *

Note: If possible, please use a PERSONAL email address instead of school/private domain email address. School/private domain email addresses may have heightened security settings that can block our emails.

Race *

Gender *

Male

Female

Other

Type of School *

Homeschool

Private/Charter School

Public School

Not applicable (for non-student)

Please select your school below *

If you selected "Other" please put your school name below:

Please select your school below *

If you selected "Other" please put your school name below:

Current Grade Level (Student) *

GPA

If you're currently in High School, what do you THINK you want to do post high school?

Help us get to know you better by answering the following questions:

Tell us about yourself *

What are your favorite hobbies/interests? *

What activities are you currently involved in?

What is the most important challenge you currently face? *

Have you ever volunteered or done community projects?

Yes

I'm not sure

Can you describe your experience doing community service?

Are you currently employed?

Yes, I currently have a job

No, I never had a job

I had a job in the past, but not now

Can you describe your job experience?

Write a brief summary of what you hope to gain from meeting with a professional career coach. *

Payment

Pay full coaching fee ($500)

Apply for Scholarship

Note: If you choose to pay the coaching fee, you will be redirected to our payment gateway after submitting this application form.

Scholarship Type: *

Full Scholarship

Partial Scholarship

Kay Adele Kruse Home Educated Student Scholarship (for Homeschooled Students only)

Why do believe you qualify for a scholarship? *

NOTE: You'll receive a separate email from us regarding the status of your scholarship application after submitting this form.

Can you share with us what military branch you were in, and in what ways did you serve? *

Are you currently employed?

Yes

Employer Name *

How was your work experience? *

Explain any work history/prior work history *

Ready to submit? Click the submit button below.

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